| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $223.87 | $812.83 | $1,412.54 | |
Anthem BCBS
| Professional | $363.08 | $489.78 | $616.60 | |
Harvard Pilgrim
| Professional | $1,659.59 | $2,691.53 | $5,128.61 | |
Martin's Point
| Professional | $223.87 | $676.08 | $1,412.54 | |
United
| Professional | $1,000.00 | $1,584.89 | $3,548.13 |